Sujith M. Abraham, OTR
Individual provider Active NPI Occupational Therapist · Dumont, NJ
NPI 1104140722 · NPPES record last updated Mar 14, 2012
Key facts
- NPI
- 1104140722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 016066 (NY)
- Practice address
- 50 Essex PL
Dumont, NJ 07628-1112 - Phone
- (201) 439-9609
- NPI assigned
- Mar 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016066 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 016066 | NY | Yes |
Addresses
Primary practice location
50 Essex PL
Dumont, NJ 07628-1112
Mailing address
50 Essex PL
Dumont, NJ 07628-1112
Phone (201) 439-9609
Other providers in Dumont, NJ
- Above All Care Services LLC
- Acp Psychiatric Services
- Affiliated First Assistant Services LLC
- Ada Aguilar
- Olakunle Akinkunle
- Rosebel Aldana
All providers in Dumont, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.